Association Between Awareness of Basic Public Health Services And Vaccination Rates Among Migrants In China: A Nationwide Cross-Sectional Study

Abstract

Cross-sectional studies about association between awareness of basic public health services and vaccination rates among migrants were lacking. In this study, we aimed to explore the association between awareness of the BPHSs project and vaccination rates among the migrants in China. We included 10013 respondents aged 15 years old or above of eight provinces from 2017 Migrant Population Dynamic Monitoring Survey in China, a nationwide cross-sectional study. Multivariable logistic regressions were used to assess the association between awareness of basic public health services and vaccination rates. Among 10013 migrants, 76.48% were aware of the BPHSs project. Female, the middle-aged, married or having a relationship, the highly educated and the healthy population had higher awareness of this project than others. Multivariable logistic regressions showed that there were significant associations between the awareness of BPHSs project and vaccination rates of eight recommended vaccines (all p values <0.001), including HepA vaccine (OR: 1.54, 95%CI: 1.38-1.73), FIn vaccine (OR: 1.28, 95%CI: 1.13-1.44), JE vaccine (OR: 1.33, 95%CI: 1.14-1.54), TIG vaccine (OR: 1.28, 95%CI: 1.11-1.48), HepB vaccine (OR: 1.11, 95%CI: 1.01-1.22), DTaP vaccine (OR: 1.22, 95%CI: 1.05-1.43), MPSV vaccine (OR: 1.28, 95%CI: 1.08-1.51), HF vaccine (OR: 1.32, 95%CI: 1.03-1.70), except for JE vaccine. The results were robust in the sensitivity analysis. There was a strong relationship between the awareness rate of BPHSs project in the migrants and vaccination. Our findings indicated that the promotion of basic public health services had a beneficial effect on the national recommended vaccination coverage, especially for the migrants with relatively low vaccine coverage.